Homestead_Stansfield INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sates Disclosure Form Title
4703 THEATER DRIVE - REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE,IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Scotty Miskell Amanda Miskell
` Seller ameas'a °rs one nce cvmenl S Ier 2•Name as appears on conveyance document
X d p n , 34(0 S 3s W
\ dress(Nun&eradStreet)' <-' (Number and Street)
Jf 39 5 ?zsiJexr AYrtacA,-“\ —Ltt ylL1D
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and camCep to as requir•d by I.w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S-e- X r r 7�kf�
Signature ofSeller"•�" 1/4Q_.- Sig • re a(Seller_ II
Scotty Miskell / sj/"/G Amanda Miskell 531- i t-P
Printed Name of Seller /rStan'Dare(aut/INWST ty, Printed Name of Seller l'SlgnDeite(KM/DDmTf
F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
James C.Stansfield Patricia M.Stansfield
uyer I•Name as appears on conveyance document II aver 2/-Name as appears on conveyance document,
VR m ES C. S.hiIVS(,'E1Ji /c/!/ 4O s-E . //so �d
. ddress(NumbeTand Street) -CA dress(Number,'ad Street)
A 16 �f
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
firs.aa..
ES N0 CONDITION IO
Y ONDITTION I YES NO CONDITN
❑
<6Th
1.Will this property be the buyer's primary ❑ 3.Homestead '.76N�C+
residence? Provide complete address of primary 11) 4.Solar Energy Heatid�'a/�ooli : .ystem'
1
residence,including county: S
715 S Race St. ❑ 0 5.Wind Power Device O . . 0/
Address(Number and Street) ❑ 0 6.Hydroelectric Power DeviceeO04 6
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Coolfdg)('I •
City,State Code County '9
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental pl �ty?
vacated for this residence? If yes,provide ❑ 5 9.Would you like to receive tax statements arthis
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in a counties.)
Address(Number and Street)
fit!-/a- a 9- o d- co/ 67f-oaf
City,State ZIP Code County
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